US20070219581A1 - Bending Action Member, Multi-Slider Linkage Mechanism, Actuator And Manipulator - Google Patents
Bending Action Member, Multi-Slider Linkage Mechanism, Actuator And Manipulator Download PDFInfo
- Publication number
- US20070219581A1 US20070219581A1 US10/582,354 US58235404A US2007219581A1 US 20070219581 A1 US20070219581 A1 US 20070219581A1 US 58235404 A US58235404 A US 58235404A US 2007219581 A1 US2007219581 A1 US 2007219581A1
- Authority
- US
- United States
- Prior art keywords
- drive power
- articulation
- bending action
- constructed
- bending
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/70—Manipulators specially adapted for use in surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2905—Details of shaft flexible
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2901—Details of shaft
- A61B2017/2908—Multiple segments connected by articulations
Definitions
- the present invention relates to a bending action member, multi-slider linkage mechanism, actuator and manipulator and more particularly the present invention can be preferably applied to a manipulator used in operation such that it is inserted into a space having a higher pressure than the atmospheric pressure. Further, the present invention is preferably applied to a manipulator having multi-slider linkage mechanism which has a plurality of articulation and starts bending action of its rear end side after the bending action of its front end side of the adjoining two articulations ends. Additionally, the present invention is preferably applied to a manipulator used for medical purpose such as minimally invasive surgery.
- the minimally invasive surgery having an advantage of reducing a damage to the patient has various problems for achieving minimally invasive property.
- Those problems originate from mainly a low degree of freedom possessed by such a surgical instrument such as a laparoscope and long forceps used in operative treatment.
- the bending mechanism having a degree of freedom of the slider-link mechanism is constituted of three frames 101 , 102 , 103 , two-pin rotary shafts 104 , 105 (2-pin joints) capable of rotating at an angle of ⁇ 45°, drive link joints 106 , 107 , 108 , and restraint link joints 109 , 110 .
- the restraint link joints 109 , 110 are link joints for restricting the operation so as to allow the second frame to start rotation after the frame 101 at the front end side rotates by ⁇ 45°.
- Such a structure allows a degree of freedom to bend by ⁇ 90° to both sides.
- a manipulator capable of bending up to 90° independently can be constructed by jointing two bending mechanism with one degree of freedom back and forth so that they are located at 90° each other in the bending direction.
- a manipulator provided with a surgery instrument at a movable portion at its front end is introduced into the abdominal cavity through an incised hole in the stomach wall, the pressure inside the abdominal cavity is set higher than the atmospheric pressure to secure a space for expanding the field of vision and executing operation in order to facilitate the operation.
- space for example, wedge-shaped portion
- a drive power needs to be transmitted to the movable portion at the front end portion to actuate this frame.
- a link member such as a drive link joint 108 is required. Additionally, a pipe having a hollow portion that connects the link member to the movable portion and hold and accommodates this up to its front end portion is necessary.
- the inventor of the present invention has paid attention to the restrictions on the structure of the manipulator and found that leakage of air in space having a higher pressure than the atmospheric pressure to outside through the hollow portion in the bent portion of the frame and pipe is one of causes for leakage of air in the abdominal cavity.
- the above-mentioned problem occurs not only in the minimally invasive surgery but also in case where the front end portion of the manipulator or the front end portion of a bending action member constructed to be detachable from the manipulator is introduced into space having a higher pressure than the surrounding pressure and driven.
- an object of the present invention is to provide a bending action member and manipulator capable of maintaining the pressure of space having a high pressure by preventing air in the high pressure area from leaking to outside through the bending action member or a movable means of the manipulator when the bending action member or the front end portion of the manipulator is introduced into the space having higher pressure than the surrounding pressure.
- the multi-slider linkage mechanism comprises three frames 101 , 102 , 103 whose end portion is cut out at a predetermined angle and two articulation portions in which these frames 101 , 102 , 103 are jointed each other.
- a first articulation portion 201 executes bending action and after the bending action of the first articulation portion 201 ends, the bending action of the second articulation portion 202 is executed. That is, it is so constructed that the bending action of the second articulation portion 202 is not started until the bending action of the first articulation portion 201 is completed.
- the second articulation portion 202 is bent before the bending action of the first articulation portion 201 ends by receiving the weights of the frames 101 , 102 , 103 and other external forces as shown in FIG. 7B , so that it is sometimes bent slightly in an opposite direction with respect to the its proper bending direction of the second articulation portion 202 .
- an angle ⁇ 2 between the restraint link 109 and the inner wall surface of the frame 102 becomes larger than an angle ⁇ 1 at the time when the ordinary bending action is carried out as shown in FIG. 7A .
- a second object of the present invention is to provide a multi-slider linkage mechanism capable of actuating an apparatus having the multi-slider linkage mechanism smoothly and stably by smoothing the operation of the mechanism in order to prevent an unexpected stop of the bending action by suppressing generation of hang-up phenomenon (scuffing phenomenon) in the second articulation portion, which is an articulation on the rear end side of adjoining two articulations, and a bending action member and manipulator.
- the conventional manipulator has following problems.
- the surgical instrument needs to be replaced frequently.
- the manipulator used as a surgical instrument needs to be advanced into the human body in minimally invasive condition and operated.
- the size thereof increases. Therefore, it is extremely cumbersome to replace such a large manipulator frequently and further, surgery itself is retarded.
- the surgical instrument used for such surgery needs to be cleaned and sterilized.
- it is extremely complicated and difficult to clean or sterilize such a large surgical instrument and a manipulator including movable system and drive power system mixedly.
- a third object of the present invention is to provide a bending action member which can be replaced effectively in a short time and simplify cleaning work and sterilization work when it is used for surgery or the like, and an actuator and manipulator having the same.
- a first invention of the present invention provides a bending action member comprising:
- a movable means in which the front end side portion thereof is bendable
- a drive power transmitting means capable of transmitting a drive power to the movable means
- a member accommodating means that is connected to the movable means and contains a hollow portion accommodating the drive power transmitting means
- a pair o-f forceps members constructed that at least one of them is rotatable is provided at the front end of the movable means and the pair of the forceps members is capable of gripping a solid object corresponding to a drive power transmitted by the drive power transmitting means.
- a second invention of the present invention provides a manipulator comprising:
- a movable means in which the front side portion thereof is bendable
- a drive power generating means capable of generating a drive power for operating the movable means
- a drive power transmitting means capable of transmitting a drive power generated by the drive power generating means to the movable means
- a member accommodating means that is connected to the movable means and contains a hollow portion accommodating the drive power transmitting means
- a pair of forceps members constructed that at least one of them is rotatable is provided at the front end of the movable means and the pair of the forceps members grips a solid object by transmitting a drive power generated by the drive power generating means with the drive power transmitting means.
- the air-tight member makes a sliding contact with the drive power transmitting means when the drive power is transmitted to the movable means by the drive power transmitting means.
- the movable means is constituted of a plurality of articulation portions and adjoining two articulation portions of the plurality of the articulation portions are so constructed that the articulation portion on the rear end side starts its bending action after the bending of the articulation portion on the front end side ends.
- a third invention of the present invention provides a multi-slider linkage mechanism further comprising a movable means having a plurality of articulations and constructed to be bendable, wherein
- the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends,
- the magnitude of a moment required for starting the bending action of the second articulation portion is larger than a moment required for the bending action of the first articulation portion.
- a fourth invention of the present invention provides a bending action member comprising:
- a movable means having a plurality of articulation portions at its front end side portion and constructed to be bendable
- the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends, and
- the magnitude of a moment required for starting the bending action of the second articulation portion is larger than a moment required for the bending action of the first articulation portion.
- a fifth invention of the present invention provides a manipulator comprising:
- a movable means having a plurality of articulation portions at its front end portion and constructed to be bendable
- a drive power generating means constructed to be capable of generating a drive power for operating the movable means
- a drive power transmitting means constructed to be capable of transmitting the drive power generated by the drive power generating means to the movable means
- the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends, and
- the magnitude of a moment required for starting the bending action of the second articulation portion is larger than a moment required for the bending action of the first articulation portion.
- the second articulation portion has a rotary shaft perpendicular to the bending direction of the bending action, and a first frame member and a second frame member having a common rotary shaft and constituting the second articulation portion are so constructed that the first frame member has a first coupling portion; the second frame member has a second joint portion; the first coupling portion and the second coupling portion are jointed with the rotary shaft used in common; and a force generated in the direction along the rotary shaft is increased between the first coupling portion and the second coupling portion accompanied by the bending action of the second articulation portion.
- the contact face of the first coupling portion with the second coupling portion and the contact face of the second coupling portion with the first coupling portion are tapered forward so that the respective contact faces follow each other when it is not bent.
- the third to fifth inventions are so constructed that a moment is applied in the direction that the second articulation portion is restored to a state in which it is not bent, accompanied by the bending action of the second articulation portion.
- a pair of forceps members constructed that at least one of them is rotatable is provided at the front end of the movable means and the pair of the forceps members is capable of gripping a solid object by transmitting a drive power generated by the drive power generating means with the drive power transmitting means.
- the sixth invention of the present invention exists in a bending action member comprising a movable means constructed that its front end side portion is bendable, and a drive power transmitting means constructed to be capable of transmitting a drive power to the movable means, the bending action member being attachable to/detachable from an actuator having a drive power generating means for generating a drive power and the drive power transmitting means being capable of transmitting the drive power from the drive power generating means to the movable means.
- the movable means has a plurality of articulations, and the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends.
- the drive power transmitting means is constituted of at least a link member while a first joint portion is constructed of an end on the engagement/disengagement side of the link member and connectable to the drive power generating means through the first joint portion.
- This sixth invention is so constructed that the first joint portion has a projecting portion and the projecting portion is capable of being fitted to a fitting hole made in a second joint portion composed of elastic body that has the fitting hole and urges substantially perpendicularly to the transmitting direction of the drive power in the actuator.
- the seventh invention of the present invention exists in an actuator comprising a drive power generating means constructed to be capable of generating a drive power for actuating the movable means, the actuator being constructed to be attachable to/detachable from a bending action member having a movable means at its front end side portion.
- the drive power generating means has a second joint portion and the second connecting portion which is a drive power generating means is constructed to be connectable to a first joint portion of the drive power transmitting means for transmitting the drive power to the movable means in the bending action member.
- the second joint portion in the actuator includes an elastic body containing a fitting hole and for urging substantially perpendicularly to the transmitting direction of the drive power and the second joint portion in the actuator is advanced substantially linearly by the drive power generating means toward the first joint portion of the bending action member having a projecting portion capable of being fitted to the fitting hole and an elastic body generates an urging force to the projecting portion so that the fitting hole is fitted to the projecting portion.
- the eighth invention of the present invention exists in a manipulator comprising: a bending action member including a movable means constructed that its end side portion is bendable and a drive power transmitting means capable of transmitting a drive power applied from outside to the movable means; and
- the bending action member and the actuator are constructed to be capable of engaging/disengaging each other; the second joint portion of a drive power generating means and the first joint portion of a drive power transmitting means are constructed to be connectable.
- the drive power generating means and the drive power transmitting means are constructed to be jointed after the bending action member and actuator are connected to each other and the joint between the drive power generating means and the drive power transmitting means is separable accompanied by the separation between the bending action member and the actuator.
- the second joint portion in the actuator includes an elastic body containing a fitting hole and for urging substantially perpendicularly to the transmitting direction of the drive power and the first joint portion in the bending action member has a projecting portion capable of being fitted to the fitting hole and the second joint portion in the actuator being advanced substantially linearly by the drive power generating means, so that the drive power transmitting means and the drive power generating means are connected while an urging force is generated and fitted to the projecting portion.
- the technical philosophy of the present invention is not always restricted to the above-described combinations but includes technical philosophies achieved by combining the above-mentioned plural inventions appropriately and arbitrarily.
- the bending action member of the first invention and the manipulator of the second invention can reduce or prevent leakage of air in a sealed area to outside when the movable portion of the manipulator or the bending action member is inserted into a substantially sealed space having a higher pressure than the atmospheric pressure and operated. As a consequence, complication of pressurizing air in the sealed area again or continuing to supply air into the inside of the sealed area can be reduced.
- the manipulator of the second invention can prevent leakage of air in the abdominal cavity of a patient to outside upon minimally invasive surgery in which medical operation is executed with the abdominal cavity of the patient kept at a higher pressure than the atmospheric pressure.
- minimally invasive surgery by an operator can be facilitated with the safety.
- the multi-slider linkage mechanism of the third invention, the bending action member of the fourth invention and the manipulator of the fifth invention prevent generation of hang-up phenomenon (scuffing phenomenon) at the second articulation portion on the rear end side of adjoining two articulations constructed to bend in the same direction thereby blocking an unexpected stop of the bending action and smoothing the operation of the mechanism.
- an apparatus including the multi-slider linkage mechanism can be operated smoothly and stably.
- the multi-slider linkage mechanism of the third invention, the bending action member of the fourth invention and the manipulator of the fifth invention prevent hang-up (scuffing) phenomenon in the multi-slider linkage mechanism of the bending action member or the manipulator used in the minimally invasive surgery thereby actuating the mechanism smoothly and stabilizing the operation of the bending action member and the manipulator. As a consequence, the minimally invasive surgery by an operator can be facilitated.
- the bending action member of the sixth invention and the actuator of the seventh invention allow replacement of the bending action member to be carried out effectively in a short time and further, cleaning work and sterilization work to be simplified if the bending action member is used for surgery or the like. Further, the minimally invasive surgery by an operator can be facilitated with the safety.
- FIG. 1 shows the entire structure of a manipulator of this embodiment.
- the manipulator of this embodiment comprises an actuator portion 1 as a drive power generating means and a joint type bending forceps portion 2 .
- the actuator portion 1 is constituted of mainly stainless steel (SUS304) and comprises an outer case 11 as a casing, a motor with three reducers provided on three motor bases 12 a , three joint arms 13 provided with a connecting plate 13 a and joint spring 13 b , an arm guide 14 for guiding the joint arms 13 , a bearing base 15 , a guide base 16 , bearing case 17 and a coupling 18 .
- SUS304 stainless steel
- a joint guide groove 11 a for jointing with a joint portion 19 in the joint type bending forceps portion 2 is formed for example, in an L shape on the side of the joint portion 19 of the outer case 11 of the actuator portion 1 .
- the actuator portion 1 is constructed to generate a drive power with the motor 12 with the reducers. Then, this drive power is transmitted to the joint arm 13 through the bearing case 17 and the coupling 18 .
- This joint arm 13 transmits a drive power to the forceps which is a movable portion at the front end of the joint type bending forceps portion 2 .
- the joint arm 13 is constructed to be movable in the longitudinal direction of the actuator portion 1 corresponding to drive accompanied by generation of a drive power.
- the joint type bending forceps portion 2 is constituted by connecting a bending forceps portion 30 having a gripping portion as a forceps member comprised of the multi-slider linkage mechanism at the front end side and the joint portion 19 for connecting to the actuator portion 1 at the other end side with a frame 24 having a hollow portion.
- the joint portion 19 includes a joint case 19 a , a grip base 19 b and an engagement/disengagement pin 20 fitted to the joint guide groove 11 a as a fastening device used for engaging with/disengaging from the actuator 1 .
- Three pairs of connecting pin 21 and locate base 22 which are constructed to be connectable with the above-described three joint arms 13 , are provided inside the joint case 19 a . These three pairs of the connecting pin 21 and the locate base 22 are provided at an end of the joint portion 19 side for three link members 23 for transmitting each drive power to the bending forceps portion 30 at the front end side.
- FIG. 2A shows the joint arm 13 of this embodiment
- FIG. 2B shows the connecting pin 21 and locate base 22 at an end of the link member 23 of this embodiment
- FIG. 2C shows a sectional view taken along the line C-C of FIG. 1 about the positional relation among the connecting pin 21 , the locate base 22 and the joint arm 13 upon separation and coupling.
- the joint arm 13 of this embodiment is comprised of the connecting plate 13 a and an arm main body 13 e .
- the connecting plate 13 a is a plate-like member in which the portion outside the arm main body 13 e is bent into a V shape providing a mountain-like shape, having an opening 13 c made in the vicinity of an end on the side of the joint case 19 a .
- the connecting plate 13 a is constructed to sag with an urging force in a direction substantially vertical to a plate-like face.
- the locate base 22 of this embodiment is constructed in the form of a plate and the portion provided with the connecting pin 21 is formed in a convex shape having a step. An end portion of this plate-like locate base 22 is bent to fix an end portion of the link member 23 and connected to an end portion of the link member 23 .
- the connecting pin 21 is provided substantially in the central portion of a face formed with a step of the locate base 22 . That is, this connecting pin 21 is provided at a position which allows it to be fitted to the opening 13 c in the connecting plate 13 a of the joint arm 13 .
- the actuator portion 1 is connected to the joint type bending forceps portion 2 . That is, the engagement/disengagement pin 20 of the joint type bending forceps portion 2 is inserted into the joint guide groove 11 a (refer to FIG. 1B ) of the actuator portion 1 . As a result, the joint arm 13 advances into the interior of the joint portion 19 of the joint type bending forceps 2 .
- the positional relation among the connecting pin 21 , the locate base 22 and the joint arm 13 at this time is indicated with dotted line (at the time of separation) in FIG. 2C .
- the actuator portion 1 and the joint type bending forceps portion 2 rotate relatively about the central axis when it is advanced further along the shape of the joint guide groove 11 a .
- the positional relation among the connecting pin 21 , the locate base 22 and the joint arm 13 as seen from the section is indicated with solid line (coupling side) in FIG. 2C .
- the connecting pin 21 is not fitted to the opening 13 c .
- the state at this time is indicated in FIG. 3A .
- the connecting pin 21 and the opening 13 c are located on the same plane and however, they are not fitted to each other.
- the joint arm 13 is advanced to the side of the connecting pin 21 by driving the motor 12 with reducer as shown in FIG. 3B .
- the portion on the side of the connecting plate 13 a of the arm main body 13 e is guided by the step portion of the locate base 22 and advanced.
- the front end portion of the connecting plate 13 a is brought up such that the top end of the connecting pin 21 makes sliding contact thereby being sagged generating an elastic force.
- the connecting pin 21 and the opening 13 c are fitted to each other by such a series of actions so that the joint arm 13 and the locate base 22 are jointed together.
- a drive power generated by the motor 12 with reducer can be transmitted to the link member 23 through the joint arm 13 and the locate base 22 .
- the surgical instrument needs to be replaced frequently upon operative treatment.
- the actuator portion 1 and the joint type bending forceps portion 2 so as to be connectable and replaceable as described above, only the joint type bending forceps 2 can be replaced as an end effector portion without replacing the actuator portion 1 having a weight.
- a necessary tool can be replaced effectively in a short time.
- the actuator portion 1 can be used in common for plural kinds of the end effector portions by constructing the joint portion 19 at the end effector portion such as the joint type bending forceps 2 in the above-described way, thereby achieving reduction of cost. Additionally, cleaning and sterilization can be executed easily by constructing the end effector portion and the actuator portion 1 separably.
- the three link members 23 for transmitting a drive power of the motor 12 with reducer are accommodated in the cylindrical frame 24 having a hollow portion.
- a link base 25 composed of for example, polycarbonate (PC) for holding the link member 23 is provided inside a coupling portion between this frame 24 and the joint portion 19 .
- PC polycarbonate
- a link guide portion 26 is sealed from the grip base 19 b up to halfway in the direction to the front end side inside the frame 24 .
- the link guide portion 26 is intended to hold the link members 23 a , 23 b , 23 c and to block fluid as gas invading from the bending forceps 30 at the front end side. As a consequence, leakage of gas to outside through the frame 24 and the joint portion 19 can be blocked inside the frame 24 .
- the bending forceps 30 on the movable side to which the drive power is transmitted by the link members 23 accommodated in the frame 24 having an improved air-tightness is constructed in multi-slider linkage mechanism. That is, the bending forceps 30 at the front end side is constructed to be bendable with permeation of gas inside the frame 24 is blocked by transmission of the drive power by the link member 23 so as to maintain air-tightness.
- a first frame 31 , a second frame 32 , a third frame 33 , a fourth frame 34 and a fifth frame 35 are connected in line along the same axis in the bending forceps 30 with the manipulator according to this embodiment.
- the first frame 31 and the second frame 32 are connected with the first frame pin 36 so as to constitute a first articulation portion 50 .
- the second frame 32 and the third frame 33 are connected with the second frame pin 37 so as to constitute a second articulation portion 51 .
- the first articulation portion 50 and the second articulation portion 51 are constructed to be bendable along the same plane.
- the third frame 33 to the first frame 31 are constructed so as to be bendable up to, for example, 90° with the first articulation portion 50 and the second articulation portion 51 . Further, because the first articulation portion 50 and the second articulation portion 51 constitute the multi-slider linkage mechanism, the bending action of the second articulation portion 51 is blocked from starting until the bending action of the first articulation portion 50 is ended.
- the third frame 33 and the fourth frame 34 at the rear end side are connected with the third frame pin 38 .
- the fourth frame 34 and the fifth frame 35 are connected with the guide pin 39 .
- the third frame 33 , the fourth frame 34 and the fifth frame 35 are constructed to be bendable in a direction along the same plane at each coupling portion with the third frame pin 38 and the guide pin 39 used as a rotary shaft.
- the third frame 33 to the fifth frame 35 are also constituted of multi-slider linkage mechanism having the first articulation portion 50 and the second articulation portion 51 like the first frame 31 to the third frame 33 .
- the bending direction of the multi-slider linkage mechanism comprised of the third frame 33 to the fifth frame 35 and the bending direction of the multi-slider linkage mechanism comprised of the first frame 31 to the third frame 33 are constructed to be perpendicular to each other.
- the degree of freedom in bending action is intensified by combining bending along a predetermined face at the front end of the bending forceps portion 30 with bending along a plane perpendicular to that plane.
- the bending action of the second articulation portion 51 is not started until the bending action of the first articulation portion 50 is completed and the bending direction of the first articulation portion 50 is equal to the bending direction of the second articulation portion 51 .
- the bending forceps 30 receives its own weight and other external force from outside, sometimes the second articulation portion 51 is bent before the bending action of the first articulation portion 50 is ended and the second articulation portion 51 is bent slightly in an opposite direction to its original bending direction corresponding to the bending action of the first articulation portion 50 .
- lubricant cannot be used at a movable portion of the first articulation portion 50 or the second articulation portion 51 if the manipulator of this embodiment is used for minimally invasive surgery and thus, non-lubrication action needs to be executed.
- FIG. 5A shows the second articulation portion 51
- FIG. 5B shows a partial sectional view taken along the line B-B of the joint portion 51 a of the second articulation portion 51 .
- the second articulation portion 51 comprised of the second frame 32 and the third frame 33 will be described by way of example, the same structure is adopted in the second articulation portion 51 comprised of the fourth frame 34 and the fifth frame 35 .
- a connecting end of each of the second frame 32 and the third frame 33 is formed into a ring shape and they are jointed with the second frame pin 37 so as to constitute the joint portion 51 a.
- the ring-like portion in which the second frame 32 and the third frame 33 are jointed with the second frame pin 37 is constructed in a tapered configuration at this joint portion 51 a.
- the inner contact face of the joint portion 51 a with the third frame 33 in the second frame 32 is formed in forward taper whose thickness increases as it reaches its root and the outer contact face in contact with the joint portion 51 a of the third frame 33 is formed in the forward taper so as to follow up the forward taper at the joint portion 51 a of the second frame 32 when they are not bent.
- the second articulation portion 51 is bent with the second frame pin 37 as a shaft at the joint portion 51 a in which the two frames are formed in the forward taper, thicker portions in the forward tapered shape of the second frame 32 and the third frame 33 overlap each other accompanied by the advancement of the bending action.
- the dynamic energy acts so that its magnitude minimizes.
- a moment is applied to the joint portion 51 a in the direction of minimizing the interacting force when the second articulation portion 51 is bent and accordingly, the magnitude of a moment required for the bending action of the second articulation portion 51 increases as compared with the magnitude of a moment for bending the first articulation portion 50 .
- the front end of the bending forceps portion 30 has a movable forceps 40 which is opened at an angle of, for example, 60° and capable of gripping a solid object of a predetermined size which can be opened or closed.
- This movable forceps 40 comprises a fixed gripping tooth 40 a and a movable gripping tooth 40 b.
- the fixed gripping tooth 40 a is fixed to the front end side of the first frame 31 .
- the movable gripping tooth 40 b is capable of being opened up to a predetermined angle ⁇ (for example, about 60°) and closed with an elastic body such as a spring (not shown) and by operation through one link member (for example, link member 23 c ) of the above-described three link members 23 .
- the manipulator of this embodiment is constituted in the above-described way.
- the present invention can be applied to not only the manipulator but also any apparatus which operates by inserting its front end portion into a high pressure portion and transmitting a drive power through link members, the front end portion being provided with a movable portion, in an area having a higher internal pressure than the atmospheric pressure.
- the present invention can be applied to not only the manipulator but also any apparatuses having the multi-slider linkage mechanism.
- FIG. 1 is a sectional view showing a manipulator according to an embodiment of the present invention, a side view showing an outer case and a sectional view showing its front end portion.
- FIG. 2 is a perspective view showing a joint arm in the manipulator according to the embodiment of the present invention, a perspective view showing a connecting pin for connecting, and a sectional view showing a positional relation between the actuator portion and the joint portion at the time of joint and separation.
- FIG. 3 is a perspective view showing a method for joining the actuator portion and the joint portion in the manipulator according to the embodiment of the present invention.
- FIG. 4 is a perspective sectional view showing a link guide portion in the frame of the manipulator according to the embodiment of the present invention.
- FIG. 5 is a perspective view showing a second articulation portion equipped in the manipulator according to the embodiment of the present invention and a sectional view showing a joint portion.
- FIG. 6 is a diagram for explaining the multi-slider linkage mechanism of a related art.
- FIG. 7 is a diagram for explaining hang-up phenomenon (scuffing phenomenon) in the multi-slider linkage mechanism of the related art.
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Medical Informatics (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Robotics (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
- Manipulator (AREA)
Abstract
Description
- The present invention relates to a bending action member, multi-slider linkage mechanism, actuator and manipulator and more particularly the present invention can be preferably applied to a manipulator used in operation such that it is inserted into a space having a higher pressure than the atmospheric pressure. Further, the present invention is preferably applied to a manipulator having multi-slider linkage mechanism which has a plurality of articulation and starts bending action of its rear end side after the bending action of its front end side of the adjoining two articulations ends. Additionally, the present invention is preferably applied to a manipulator used for medical purpose such as minimally invasive surgery.
- As one of important fields in development of surgery in recent years, the minimally invasive surgery can be mentioned.
- That is, in ordinary surgery, normal tissues need to be incised in order to secure an approach path up to arrival at a treatment position and surgery work area as well as the treatment position before executing the medical treatment. For example, when removing the gallbladder, surgical instruments such as scissors need to be inserted into the abdominal cavity by incising the stomach skin and muscle.
- Then, a surgery having a decreased damage to a patient or a decreased possibility of giving a damage upon operative treatment is required and the minimally invasive surgery is adopted as an operative treatment capable of suppressing such a damage.
- However, the minimally invasive surgery having an advantage of reducing a damage to the patient has various problems for achieving minimally invasive property. Those problems originate from mainly a low degree of freedom possessed by such a surgical instrument such as a laparoscope and long forceps used in operative treatment.
- More specifically, because these surgical instruments are introduced into the abdominal cavity through an incised hole in the stomach wall or trocar, an approach to an affected area is limited to a particular direction if considering that points such as the incised hole are substantially fixed. As a consequence, the surgical technique is restricted so that difficulty of surgery is intensified, which is a problem to be solved.
- Then, to solve such a problem, various proposals have been made by developing a manipulator by providing a conventional surgical instrument with a new degree of freedom.
- With development of such a manipulator, a forceps manipulator using multi-slider linkage mechanism has been proposed. Portions of the multi-slider linkage mechanism of this forceps manipulator are shown in
FIG. 6 . - In the forceps manipulator of this related art as shown in
FIG. 6 , the bending mechanism having a degree of freedom of the slider-link mechanism is constituted of threeframes rotary shafts 104, 105 (2-pin joints) capable of rotating at an angle of ±45°,drive link joints restraint link joints - A moment about the
rotary shaft respective frames drive link joint 108 in a predetermined direction. Therestraint link joints frame 101 at the front end side rotates by ±45°. - Such a structure allows a degree of freedom to bend by ±90° to both sides. Then, a manipulator capable of bending up to 90° independently can be constructed by jointing two bending mechanism with one degree of freedom back and forth so that they are located at 90° each other in the bending direction.
- However, the above-described conventional manipulator has following problems.
- When minimally invasive surgery is executed using the manipulator, for example, a manipulator provided with a surgery instrument at a movable portion at its front end is introduced into the abdominal cavity through an incised hole in the stomach wall, the pressure inside the abdominal cavity is set higher than the atmospheric pressure to secure a space for expanding the field of vision and executing operation in order to facilitate the operation.
- There was a problem that air in the abdominal cavity leaks when the front end portion of the manipulator is introduced into the abdominal cavity with the inside of the abdominal cavity pressurized. If air in the abdominal cavity leaks, a necessity of pressurizing the abdominal cavity again and always supplying air occurs.
- As a result of considering causes for the leakage of air, the inventor of the present invention has found out that a following reason for the leakage of air exists.
- To actuate the movable portion constituted of the link mechanism at the front end portion of the above-mentioned manipulator, space (for example, wedge-shaped portion) for bending is required at the bending portion of an adjoining frame and further, a drive power needs to be transmitted to the movable portion at the front end portion to actuate this frame.
- To transmit the drive power to this front end portion, as shown in
FIG. 6 , a link member such as adrive link joint 108 is required. Additionally, a pipe having a hollow portion that connects the link member to the movable portion and hold and accommodates this up to its front end portion is necessary. - The inventor of the present invention has paid attention to the restrictions on the structure of the manipulator and found that leakage of air in space having a higher pressure than the atmospheric pressure to outside through the hollow portion in the bent portion of the frame and pipe is one of causes for leakage of air in the abdominal cavity.
- The above-mentioned problem occurs not only in the minimally invasive surgery but also in case where the front end portion of the manipulator or the front end portion of a bending action member constructed to be detachable from the manipulator is introduced into space having a higher pressure than the surrounding pressure and driven.
- Accordingly, an object of the present invention is to provide a bending action member and manipulator capable of maintaining the pressure of space having a high pressure by preventing air in the high pressure area from leaking to outside through the bending action member or a movable means of the manipulator when the bending action member or the front end portion of the manipulator is introduced into the space having higher pressure than the surrounding pressure.
- The conventional multi-slider linkage mechanism and the manipulator having this have following problems.
- As described above, the multi-slider linkage mechanism comprises three
frames frames - In an ordinary bending action, as shown in
FIG. 7A , first, afirst articulation portion 201 executes bending action and after the bending action of thefirst articulation portion 201 ends, the bending action of thesecond articulation portion 202 is executed. That is, it is so constructed that the bending action of thesecond articulation portion 202 is not started until the bending action of thefirst articulation portion 201 is completed. - However, the
second articulation portion 202 is bent before the bending action of thefirst articulation portion 201 ends by receiving the weights of theframes FIG. 7B , so that it is sometimes bent slightly in an opposite direction with respect to the its proper bending direction of thesecond articulation portion 202. - When such a bending occurs in the
second articulation portion 202, as shown inFIG. 7B , an angle θ2 between therestraint link 109 and the inner wall surface of theframe 102 becomes larger than an angle θ1 at the time when the ordinary bending action is carried out as shown inFIG. 7A . - Consequently, a force applied to the inner wall of the
frame 102 is increased by therestraint link 109, so that friction force between therestraint link 109 and theframe 102 increases, thereby generating hang-up, namely, phenomenon called “scuffing” in the link portion of the multi-slider linkage mechanism. When this “scuffing” occurs, the multi-slider linkage mechanism itself becomes unmovable, which is a problem to be solved. - Accordingly, a second object of the present invention is to provide a multi-slider linkage mechanism capable of actuating an apparatus having the multi-slider linkage mechanism smoothly and stably by smoothing the operation of the mechanism in order to prevent an unexpected stop of the bending action by suppressing generation of hang-up phenomenon (scuffing phenomenon) in the second articulation portion, which is an articulation on the rear end side of adjoining two articulations, and a bending action member and manipulator.
- The conventional manipulator has following problems.
- That is, in surgery, the surgical instrument needs to be replaced frequently. Particularly, in minimally invasive surgery, the manipulator used as a surgical instrument needs to be advanced into the human body in minimally invasive condition and operated. Thus, the size thereof increases. Therefore, it is extremely cumbersome to replace such a large manipulator frequently and further, surgery itself is retarded.
- The surgical instrument used for such surgery needs to be cleaned and sterilized. However, it is extremely complicated and difficult to clean or sterilize such a large surgical instrument and a manipulator including movable system and drive power system mixedly.
- Accordingly, a third object of the present invention is to provide a bending action member which can be replaced effectively in a short time and simplify cleaning work and sterilization work when it is used for surgery or the like, and an actuator and manipulator having the same.
- Means for Solving the Problem
- To achieve the first object, a first invention of the present invention provides a bending action member comprising:
- a movable means in which the front end side portion thereof is bendable;
- a drive power transmitting means capable of transmitting a drive power to the movable means;
- a member accommodating means that is connected to the movable means and contains a hollow portion accommodating the drive power transmitting means; and
- an air-tight member provided in the hollow portion.
- According to the first invention, typically, a pair o-f forceps members constructed that at least one of them is rotatable is provided at the front end of the movable means and the pair of the forceps members is capable of gripping a solid object corresponding to a drive power transmitted by the drive power transmitting means.
- A second invention of the present invention provides a manipulator comprising:
- a movable means in which the front side portion thereof is bendable;
- a drive power generating means capable of generating a drive power for operating the movable means;
- a drive power transmitting means capable of transmitting a drive power generated by the drive power generating means to the movable means;
- a member accommodating means that is connected to the movable means and contains a hollow portion accommodating the drive power transmitting means; and
- an air-tight member provided in the hollow portion.
- According to the second invention, typically, a pair of forceps members constructed that at least one of them is rotatable is provided at the front end of the movable means and the pair of the forceps members grips a solid object by transmitting a drive power generated by the drive power generating means with the drive power transmitting means.
- According to these first and second inventions, typically, the air-tight member makes a sliding contact with the drive power transmitting means when the drive power is transmitted to the movable means by the drive power transmitting means.
- According to these first and second inventions, typically, the movable means is constituted of a plurality of articulation portions and adjoining two articulation portions of the plurality of the articulation portions are so constructed that the articulation portion on the rear end side starts its bending action after the bending of the articulation portion on the front end side ends.
- To achieve the second object, a third invention of the present invention provides a multi-slider linkage mechanism further comprising a movable means having a plurality of articulations and constructed to be bendable, wherein
- the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends,
- and the magnitude of a moment required for starting the bending action of the second articulation portion is larger than a moment required for the bending action of the first articulation portion.
- A fourth invention of the present invention provides a bending action member comprising:
- a movable means having a plurality of articulation portions at its front end side portion and constructed to be bendable;
- and a drive power transmitting means constructed to be capable of transmitting the drive power to the movable means, wherein
- the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends, and
- the magnitude of a moment required for starting the bending action of the second articulation portion is larger than a moment required for the bending action of the first articulation portion.
- A fifth invention of the present invention provides a manipulator comprising:
- a movable means having a plurality of articulation portions at its front end portion and constructed to be bendable;
- a drive power generating means constructed to be capable of generating a drive power for operating the movable means; and
- a drive power transmitting means constructed to be capable of transmitting the drive power generated by the drive power generating means to the movable means, wherein
- the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends, and
- the magnitude of a moment required for starting the bending action of the second articulation portion is larger than a moment required for the bending action of the first articulation portion.
- According to these third to fifth inventions, typically, the second articulation portion has a rotary shaft perpendicular to the bending direction of the bending action, and a first frame member and a second frame member having a common rotary shaft and constituting the second articulation portion are so constructed that the first frame member has a first coupling portion; the second frame member has a second joint portion; the first coupling portion and the second coupling portion are jointed with the rotary shaft used in common; and a force generated in the direction along the rotary shaft is increased between the first coupling portion and the second coupling portion accompanied by the bending action of the second articulation portion.
- According to these third to fifth inventions, specifically, the contact face of the first coupling portion with the second coupling portion and the contact face of the second coupling portion with the first coupling portion are tapered forward so that the respective contact faces follow each other when it is not bent.
- Typically, the third to fifth inventions are so constructed that a moment is applied in the direction that the second articulation portion is restored to a state in which it is not bent, accompanied by the bending action of the second articulation portion.
- According to these third to fifth inventions, typically, a pair of forceps members constructed that at least one of them is rotatable is provided at the front end of the movable means and the pair of the forceps members is capable of gripping a solid object by transmitting a drive power generated by the drive power generating means with the drive power transmitting means.
- To achieve the third object, the sixth invention of the present invention exists in a bending action member comprising a movable means constructed that its front end side portion is bendable, and a drive power transmitting means constructed to be capable of transmitting a drive power to the movable means, the bending action member being attachable to/detachable from an actuator having a drive power generating means for generating a drive power and the drive power transmitting means being capable of transmitting the drive power from the drive power generating means to the movable means.
- According to the sixth invention, typically, the movable means has a plurality of articulations, and the first articulation portion on the front end side and the second articulation portion on the rear end side that are constructed to be bendable to the same side and adjoin each other of the plurality of the articulation portions are so constructed that the bending action at the second articulation portion starts after the bending action at the first articulation portion ends.
- According to the sixth invention, typically, the drive power transmitting means is constituted of at least a link member while a first joint portion is constructed of an end on the engagement/disengagement side of the link member and connectable to the drive power generating means through the first joint portion.
- This sixth invention is so constructed that the first joint portion has a projecting portion and the projecting portion is capable of being fitted to a fitting hole made in a second joint portion composed of elastic body that has the fitting hole and urges substantially perpendicularly to the transmitting direction of the drive power in the actuator.
- The seventh invention of the present invention exists in an actuator comprising a drive power generating means constructed to be capable of generating a drive power for actuating the movable means, the actuator being constructed to be attachable to/detachable from a bending action member having a movable means at its front end side portion.
- According to the seventh invention, typically, the drive power generating means has a second joint portion and the second connecting portion which is a drive power generating means is constructed to be connectable to a first joint portion of the drive power transmitting means for transmitting the drive power to the movable means in the bending action member.
- According to the seventh invention, typically, the second joint portion in the actuator includes an elastic body containing a fitting hole and for urging substantially perpendicularly to the transmitting direction of the drive power and the second joint portion in the actuator is advanced substantially linearly by the drive power generating means toward the first joint portion of the bending action member having a projecting portion capable of being fitted to the fitting hole and an elastic body generates an urging force to the projecting portion so that the fitting hole is fitted to the projecting portion.
- The eighth invention of the present invention exists in a manipulator comprising: a bending action member including a movable means constructed that its end side portion is bendable and a drive power transmitting means capable of transmitting a drive power applied from outside to the movable means; and
- an actuator having a drive power generating means capable of generating a drive power for operating the movable means, wherein
- the bending action member and the actuator are constructed to be capable of engaging/disengaging each other; the second joint portion of a drive power generating means and the first joint portion of a drive power transmitting means are constructed to be connectable.
- According to the eighth invention, typically, the drive power generating means and the drive power transmitting means are constructed to be jointed after the bending action member and actuator are connected to each other and the joint between the drive power generating means and the drive power transmitting means is separable accompanied by the separation between the bending action member and the actuator.
- According to the eighth invention, typically, the second joint portion in the actuator includes an elastic body containing a fitting hole and for urging substantially perpendicularly to the transmitting direction of the drive power and the first joint portion in the bending action member has a projecting portion capable of being fitted to the fitting hole and the second joint portion in the actuator being advanced substantially linearly by the drive power generating means, so that the drive power transmitting means and the drive power generating means are connected while an urging force is generated and fitted to the projecting portion.
- The technical philosophy of the present invention is not always restricted to the above-described combinations but includes technical philosophies achieved by combining the above-mentioned plural inventions appropriately and arbitrarily.
- As described above, the bending action member of the first invention and the manipulator of the second invention can reduce or prevent leakage of air in a sealed area to outside when the movable portion of the manipulator or the bending action member is inserted into a substantially sealed space having a higher pressure than the atmospheric pressure and operated. As a consequence, complication of pressurizing air in the sealed area again or continuing to supply air into the inside of the sealed area can be reduced.
- The manipulator of the second invention can prevent leakage of air in the abdominal cavity of a patient to outside upon minimally invasive surgery in which medical operation is executed with the abdominal cavity of the patient kept at a higher pressure than the atmospheric pressure. Thus, the minimally invasive surgery by an operator can be facilitated with the safety.
- As described above, the multi-slider linkage mechanism of the third invention, the bending action member of the fourth invention and the manipulator of the fifth invention prevent generation of hang-up phenomenon (scuffing phenomenon) at the second articulation portion on the rear end side of adjoining two articulations constructed to bend in the same direction thereby blocking an unexpected stop of the bending action and smoothing the operation of the mechanism. As a result, an apparatus including the multi-slider linkage mechanism can be operated smoothly and stably.
- The multi-slider linkage mechanism of the third invention, the bending action member of the fourth invention and the manipulator of the fifth invention prevent hang-up (scuffing) phenomenon in the multi-slider linkage mechanism of the bending action member or the manipulator used in the minimally invasive surgery thereby actuating the mechanism smoothly and stabilizing the operation of the bending action member and the manipulator. As a consequence, the minimally invasive surgery by an operator can be facilitated.
- As described above, the bending action member of the sixth invention and the actuator of the seventh invention allow replacement of the bending action member to be carried out effectively in a short time and further, cleaning work and sterilization work to be simplified if the bending action member is used for surgery or the like. Further, the minimally invasive surgery by an operator can be facilitated with the safety.
- Hereinafter, a manipulator according to an embodiment of the present invention will be described with reference to the accompanying drawings.
FIG. 1 shows the entire structure of a manipulator of this embodiment. - (Manipulator)
- As shown in
FIG. 1A , the manipulator of this embodiment comprises anactuator portion 1 as a drive power generating means and a joint type bending forceps portion 2. - The
actuator portion 1 is constituted of mainly stainless steel (SUS304) and comprises anouter case 11 as a casing, a motor with three reducers provided on threemotor bases 12 a, threejoint arms 13 provided with a connectingplate 13 a andjoint spring 13 b, anarm guide 14 for guiding thejoint arms 13, a bearingbase 15, aguide base 16, bearingcase 17 and acoupling 18. - As shown in
FIGS. 1A and 1B , ajoint guide groove 11 a for jointing with ajoint portion 19 in the joint type bending forceps portion 2 is formed for example, in an L shape on the side of thejoint portion 19 of theouter case 11 of theactuator portion 1. - The
actuator portion 1 is constructed to generate a drive power with themotor 12 with the reducers. Then, this drive power is transmitted to thejoint arm 13 through the bearingcase 17 and thecoupling 18. - This
joint arm 13 transmits a drive power to the forceps which is a movable portion at the front end of the joint type bending forceps portion 2. Thejoint arm 13 is constructed to be movable in the longitudinal direction of theactuator portion 1 corresponding to drive accompanied by generation of a drive power. - The joint type bending forceps portion 2 is constituted by connecting a bending
forceps portion 30 having a gripping portion as a forceps member comprised of the multi-slider linkage mechanism at the front end side and thejoint portion 19 for connecting to theactuator portion 1 at the other end side with aframe 24 having a hollow portion. - The
joint portion 19 includes ajoint case 19 a, agrip base 19 b and an engagement/disengagement pin 20 fitted to thejoint guide groove 11 a as a fastening device used for engaging with/disengaging from theactuator 1. - Three pairs of connecting
pin 21 and locatebase 22, which are constructed to be connectable with the above-described threejoint arms 13, are provided inside thejoint case 19 a. These three pairs of the connectingpin 21 and the locatebase 22 are provided at an end of thejoint portion 19 side for threelink members 23 for transmitting each drive power to the bendingforceps portion 30 at the front end side. - Here, coupling of the connecting
pin 21, the locatebase 22 and thejoint arm 13 will be described with reference to Figures.FIG. 2A shows thejoint arm 13 of this embodiment,FIG. 2B shows the connectingpin 21 and locatebase 22 at an end of thelink member 23 of this embodiment, andFIG. 2C shows a sectional view taken along the line C-C ofFIG. 1 about the positional relation among the connectingpin 21, the locatebase 22 and thejoint arm 13 upon separation and coupling. - As shown in
FIG. 2A , thejoint arm 13 of this embodiment is comprised of the connectingplate 13 a and an armmain body 13 e. The connectingplate 13 a is a plate-like member in which the portion outside the armmain body 13 e is bent into a V shape providing a mountain-like shape, having anopening 13 c made in the vicinity of an end on the side of thejoint case 19 a. Further, the connectingplate 13 a is constructed to sag with an urging force in a direction substantially vertical to a plate-like face. - As shown in
FIG. 2B , the locatebase 22 of this embodiment is constructed in the form of a plate and the portion provided with the connectingpin 21 is formed in a convex shape having a step. An end portion of this plate-like locatebase 22 is bent to fix an end portion of thelink member 23 and connected to an end portion of thelink member 23. According to this embodiment, the connectingpin 21 is provided substantially in the central portion of a face formed with a step of the locatebase 22. That is, this connectingpin 21 is provided at a position which allows it to be fitted to theopening 13 c in the connectingplate 13 a of thejoint arm 13. - (Connection Between the Actuator Portion and the Joint Type Bending Forceps Portion)
- Next, fitting between the connecting
pin 21 and theopening 13 c will be described. - First, the
actuator portion 1 is connected to the joint type bending forceps portion 2. That is, the engagement/disengagement pin 20 of the joint type bending forceps portion 2 is inserted into thejoint guide groove 11 a (refer toFIG. 1B ) of theactuator portion 1. As a result, thejoint arm 13 advances into the interior of thejoint portion 19 of the joint type bending forceps 2. The positional relation among the connectingpin 21, the locatebase 22 and thejoint arm 13 at this time is indicated with dotted line (at the time of separation) inFIG. 2C . - The
actuator portion 1 and the joint type bending forceps portion 2 rotate relatively about the central axis when it is advanced further along the shape of thejoint guide groove 11 a. As a consequence, the positional relation among the connectingpin 21, the locatebase 22 and thejoint arm 13 as seen from the section is indicated with solid line (coupling side) inFIG. 2C . Only when theactuator portion 1 and the joint type bending forceps portion 2 are rotated relative to each other about their central axis and jointed, the connectingpin 21 is not fitted to theopening 13 c. The state at this time is indicated inFIG. 3A . - In an initial state in which the
actuator portion 1 and the joint type bending forceps 2 are jointed as shown inFIG. 3A , the connectingpin 21 and theopening 13 c are located on the same plane and however, they are not fitted to each other. - After that, the
joint arm 13 is advanced to the side of the connectingpin 21 by driving themotor 12 with reducer as shown inFIG. 3B . With an advance of thisjoint arm 13, the portion on the side of the connectingplate 13 a of the armmain body 13 e is guided by the step portion of the locatebase 22 and advanced. At the same time, the front end portion of the connectingplate 13 a is brought up such that the top end of the connectingpin 21 makes sliding contact thereby being sagged generating an elastic force. - When the
joint arm 13 is advanced further after that, the connectingpin 21 meets theopening 13 c as shown inFIG. 3C , so that the connectingpin 21 is fitted to theopening 13 c in the connectingplate 13 a by an elastic force generated in the connectingplate 13 a. - The connecting
pin 21 and theopening 13 c are fitted to each other by such a series of actions so that thejoint arm 13 and the locatebase 22 are jointed together. As a consequence, a drive power generated by themotor 12 with reducer can be transmitted to thelink member 23 through thejoint arm 13 and the locatebase 22. - To separate the
actuator portion 1 from the joint type bending forceps portion 2, an opposite action to the above-described coupling is carried out. That is, theactuator portion 1 and the joint type bending forceps 2 are rotated about their central axis in the direction for separation shown inFIG. 2C . As a result, thejoint arm 13 is raised to the side of the projection of the connectingpin 21 on the locatebase 22 and then, the fitting between the connectingpin 21 and theopening 13 c is released. After that, the engagement/disengagement pin 20 is moved in the direction of disengagement along the shape of thejoint guide groove 11 a. Consequently, theactuator portion 1 and the joint type bending forceps 2 are separated. - Ordinarily, the surgical instrument needs to be replaced frequently upon operative treatment. By constructing the
actuator portion 1 and the joint type bending forceps portion 2 so as to be connectable and replaceable as described above, only the joint type bending forceps 2 can be replaced as an end effector portion without replacing theactuator portion 1 having a weight. Thus, a necessary tool can be replaced effectively in a short time. - Further, the
actuator portion 1 can be used in common for plural kinds of the end effector portions by constructing thejoint portion 19 at the end effector portion such as the joint type bending forceps 2 in the above-described way, thereby achieving reduction of cost. Additionally, cleaning and sterilization can be executed easily by constructing the end effector portion and theactuator portion 1 separably. - Under a condition in which the
actuator portion 1 and the joint type bending forceps portion 2 are jointed together, the threelink members 23 for transmitting a drive power of themotor 12 with reducer are accommodated in thecylindrical frame 24 having a hollow portion. - (Gas Leakage Preventing Mechanism)
- A
link base 25 composed of for example, polycarbonate (PC) for holding thelink member 23 is provided inside a coupling portion between thisframe 24 and thejoint portion 19. - As shown in
FIG. 4 , alink guide portion 26 is sealed from thegrip base 19 b up to halfway in the direction to the front end side inside theframe 24. Thelink guide portion 26 is intended to hold thelink members forceps 30 at the front end side. As a consequence, leakage of gas to outside through theframe 24 and thejoint portion 19 can be blocked inside theframe 24. - When the
link members frame 24, theselink members link guide portion 26. Thus, as material of thislink guide portion 26, material having a high durability against sliding contact with thelink member 23 and a low gas permeability (gas permeability), for example, polycarbonate (PC), is adopted. - (Multi-Slider Linkage Mechanism)
- The bending
forceps 30 on the movable side to which the drive power is transmitted by thelink members 23 accommodated in theframe 24 having an improved air-tightness is constructed in multi-slider linkage mechanism. That is, the bendingforceps 30 at the front end side is constructed to be bendable with permeation of gas inside theframe 24 is blocked by transmission of the drive power by thelink member 23 so as to maintain air-tightness. - More specifically, a
first frame 31, asecond frame 32, athird frame 33, afourth frame 34 and afifth frame 35 are connected in line along the same axis in the bendingforceps 30 with the manipulator according to this embodiment. - The
first frame 31 and thesecond frame 32 are connected with thefirst frame pin 36 so as to constitute afirst articulation portion 50. Thesecond frame 32 and thethird frame 33 are connected with thesecond frame pin 37 so as to constitute asecond articulation portion 51. Then, thefirst articulation portion 50 and thesecond articulation portion 51 are constructed to be bendable along the same plane. - More specifically, the
first articulation portion 50 is constructed to be bendable up to, for example, 4520 and have thefirst flame pin 36 as a rotary shaft. Thesecond articulation portion 51 is constructed to be bendable up to, for example, 45° in the same direction as the bending of the first articulation portion. - Thus, the
third frame 33 to thefirst frame 31 are constructed so as to be bendable up to, for example, 90° with thefirst articulation portion 50 and thesecond articulation portion 51. Further, because thefirst articulation portion 50 and thesecond articulation portion 51 constitute the multi-slider linkage mechanism, the bending action of thesecond articulation portion 51 is blocked from starting until the bending action of thefirst articulation portion 50 is ended. - The
third frame 33 and thefourth frame 34 at the rear end side are connected with thethird frame pin 38. Thefourth frame 34 and thefifth frame 35 are connected with theguide pin 39. Then, thethird frame 33, thefourth frame 34 and thefifth frame 35 are constructed to be bendable in a direction along the same plane at each coupling portion with thethird frame pin 38 and theguide pin 39 used as a rotary shaft. - That is, the
third frame 33 to thefifth frame 35 are also constituted of multi-slider linkage mechanism having thefirst articulation portion 50 and thesecond articulation portion 51 like thefirst frame 31 to thethird frame 33. - The bending direction of the multi-slider linkage mechanism comprised of the
third frame 33 to thefifth frame 35 and the bending direction of the multi-slider linkage mechanism comprised of thefirst frame 31 to thethird frame 33 are constructed to be perpendicular to each other. - The degree of freedom in bending action is intensified by combining bending along a predetermined face at the front end of the bending
forceps portion 30 with bending along a plane perpendicular to that plane. - (Joint Structure of Second Articulation Portion)
- In the multi-slider linkage mechanism having the
first articulation portion 50 and thesecond articulation portion 51, as described above, the bending action of thesecond articulation portion 51 is not started until the bending action of thefirst articulation portion 50 is completed and the bending direction of thefirst articulation portion 50 is equal to the bending direction of thesecond articulation portion 51. However, because the bendingforceps 30 receives its own weight and other external force from outside, sometimes thesecond articulation portion 51 is bent before the bending action of thefirst articulation portion 50 is ended and thesecond articulation portion 51 is bent slightly in an opposite direction to its original bending direction corresponding to the bending action of thefirst articulation portion 50. - If such a phenomenon occurs in this
second articulation portion 51, hang-up or phenomenon called “scuffing” sometimes occurs in the link portion of the multi-slider linkage mechanism, so that the bendingforceps portion 30 itself becomes unmovable depending on a case. - Although ordinarily, use of lubricant can be considered to prevent such “scuffing”, lubricant cannot be used at a movable portion of the
first articulation portion 50 or thesecond articulation portion 51 if the manipulator of this embodiment is used for minimally invasive surgery and thus, non-lubrication action needs to be executed. - Then, the structure of preventing the scuffing phenomenon of the multi-slider linkage mechanism without use of lubricant in the
second articulation portion 51 of this embodiment will be described.FIG. 5A shows thesecond articulation portion 51 andFIG. 5B shows a partial sectional view taken along the line B-B of thejoint portion 51 a of thesecond articulation portion 51. Although in a following description, thesecond articulation portion 51 comprised of thesecond frame 32 and thethird frame 33 will be described by way of example, the same structure is adopted in thesecond articulation portion 51 comprised of thefourth frame 34 and thefifth frame 35. - In the
second articulation portion 51 of this embodiment, as shown inFIG. 5A , a connecting end of each of thesecond frame 32 and thethird frame 33 is formed into a ring shape and they are jointed with thesecond frame pin 37 so as to constitute thejoint portion 51a. - As shown in
FIG. 5B , the ring-like portion in which thesecond frame 32 and thethird frame 33 are jointed with thesecond frame pin 37 is constructed in a tapered configuration at thisjoint portion 51 a. - More specifically, the inner contact face of the
joint portion 51 a with thethird frame 33 in thesecond frame 32 is formed in forward taper whose thickness increases as it reaches its root and the outer contact face in contact with thejoint portion 51 a of thethird frame 33 is formed in the forward taper so as to follow up the forward taper at thejoint portion 51 a of thesecond frame 32 when they are not bent. - If the
second articulation portion 51 is bent with thesecond frame pin 37 as a shaft at thejoint portion 51 a in which the two frames are formed in the forward taper, thicker portions in the forward tapered shape of thesecond frame 32 and thethird frame 33 overlap each other accompanied by the advancement of the bending action. - If the thicker portions in the forward tapered shape come to overlap each other accompanied by the bending action, its force increases as compared with a force acting between the two members at the
joint portion 51a when the articulation portion is not bent (bending angle: 0°) so that a dynamically unstable state is produced. - That is, with progress of the bending action of the
second articulation portion 51, a force acting on the inside of thejoint portion 51 a of thesecond frame 32 increases and at the same time, a force acting on the outside of thejoint portion 51 a of thethird frame 33 increases. As a consequence, the force at thejoint portion 51 a increases so that dynamic energy increases thereby producing a dynamically unstable state. - Ordinarily, the dynamic energy acts so that its magnitude minimizes. Thus, a moment is applied to the
joint portion 51 a in the direction of minimizing the interacting force when thesecond articulation portion 51 is bent and accordingly, the magnitude of a moment required for the bending action of thesecond articulation portion 51 increases as compared with the magnitude of a moment for bending thefirst articulation portion 50. - As a consequence, a force is generated at the
second articulation portion 51 in the direction of restoration to a state in which it is not bent. Thus, a undesired bending action becomes unlikely to occur at thesecond articulation portion 51, so that the bending action cannot be started unless a larger force than a predetermined force is applied from outside. - Thus, generation of the undesired bending action can be suppressed at the
second articulation portion 51 by forming the joint faces (contact faces) at thejoint portion 51 a of thesecond frame 32 and thethird frame 33 in forward taper to follow up the shape of each other when the articulation is not bent. As a consequence, the hang-up of thesecond articulation portion 51 can be prevented thereby smoothing and stabilizing the action of the bendingforceps portion 30. - In addition to the above-described method of forming the joint face (contact face) of the
joint portion 51 a of thesecond articulation portion 50 in forward taper, it is permissible to adopt a variety of methods of applying a force for maintaining thesecond articulation portion 51 in a state whose bending angle is 0° by setting the magnitude of a force required for bending thesecond articulation portion 51 larger than a force required for bending thefirst articulation portion 50. - More specifically, it is permissible to adopt a method of intensifying a force required for the bending by constructing the
joint portion 51 a at thesecond articulation portion 51 by interference fit between the frames or a method of constructing thejoint portion 51 a of thesecond articulation portion 51 using a spring washer. - Further, to suppress the cause for the scuffing phenomenon, it is permissible to adopt a method of minimizing a friction force at a contact portion between the
second frame 32 constituting thesecond articulation portion 51 and the movable link or the restraint link (both of which is not shown) for bending thesecond articulation portion 51. More specifically, it is permissible to use a material having a higher hardness than the material constituting the frame, as the material which constitutes the movable link or the restraint link or carry out surface treatment on the link member. - The front end of the bending
forceps portion 30 has amovable forceps 40 which is opened at an angle of, for example, 60° and capable of gripping a solid object of a predetermined size which can be opened or closed. Thismovable forceps 40 comprises a fixed grippingtooth 40 a and a movablegripping tooth 40 b. - The fixed
gripping tooth 40 a is fixed to the front end side of thefirst frame 31. On the other hand, the movablegripping tooth 40 b is capable of being opened up to a predetermined angle θ (for example, about 60°) and closed with an elastic body such as a spring (not shown) and by operation through one link member (for example,link member 23 c) of the above-described threelink members 23. - The manipulator of this embodiment is constituted in the above-described way.
- In the meantime, the present invention can be applied to not only the manipulator but also any apparatus which operates by inserting its front end portion into a high pressure portion and transmitting a drive power through link members, the front end portion being provided with a movable portion, in an area having a higher internal pressure than the atmospheric pressure.
- The present invention can be applied to not only the manipulator but also any apparatuses having the multi-slider linkage mechanism.
-
FIG. 1 is a sectional view showing a manipulator according to an embodiment of the present invention, a side view showing an outer case and a sectional view showing its front end portion. -
FIG. 2 is a perspective view showing a joint arm in the manipulator according to the embodiment of the present invention, a perspective view showing a connecting pin for connecting, and a sectional view showing a positional relation between the actuator portion and the joint portion at the time of joint and separation. -
FIG. 3 is a perspective view showing a method for joining the actuator portion and the joint portion in the manipulator according to the embodiment of the present invention. -
FIG. 4 is a perspective sectional view showing a link guide portion in the frame of the manipulator according to the embodiment of the present invention. -
FIG. 5 is a perspective view showing a second articulation portion equipped in the manipulator according to the embodiment of the present invention and a sectional view showing a joint portion. -
FIG. 6 is a diagram for explaining the multi-slider linkage mechanism of a related art. -
FIG. 7 is a diagram for explaining hang-up phenomenon (scuffing phenomenon) in the multi-slider linkage mechanism of the related art. -
- 1: Actuator portion
- 2: Joint type bending forceps portion
- 11: Outer case
- 11 a: Joint guide groove
- 12: Motor with reducer
- 12 a: Motor base
- 13: Joint arm
- 13 a: Connecting plate
- 13 b: Joint spring
- 13 c: Opening
- 13 e: Arm main body
- 14: Arm guide
- 15: Bearing base
- 16: Guide base
- 17: Bearing case
- 18: Coupling
- 19: Joint portion
- 19 a: Joint case
- 19 b: Grip base
- 20: Engagement/disengagement pin
- 21: Connecting pin
- 22: Locate base
- 23, 23 a, 23 b, 23 c: Link member
- 24: Frame
- 25: Link base
- 26: Link guide portion
- 30: Bending forceps portion
- 31: First frame
- 32: Second frame
- 33: Third frame
- 34: Fourth frame
- 35: Fifth frame
- 36: Fist frame pin
- 37: Second frame pin
- 38: Third frame pin
- 39: Guide pin
- 40: Movable forceps
- 40 a: Fixed gripping tooth
- 40 b: Movable gripping tooth
- 50: First articulation portion
- 51: Second articulation portion
- 51 a: Joint portion
- 101, 102, 103: Frame
- 104, 105: Rotary shaft
- 106, 107, 108: Drive link joint
- 108: Drive link joint
- 109, 110: Restraint link joint
Claims (20)
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2003-413720 | 2003-12-11 | ||
JP2003-413719 | 2003-12-11 | ||
JP2003413719A JP2005168846A (en) | 2003-12-11 | 2003-12-11 | Bending operation member and manipulator |
JP2003413720A JP4524096B2 (en) | 2003-12-11 | 2003-12-11 | Multi-node slider / link mechanism, bending motion member and manipulator |
JP2003-413721 | 2003-12-11 | ||
JP2003413721A JP4504000B2 (en) | 2003-12-11 | 2003-12-11 | Bending motion member, actuator and manipulator |
PCT/JP2004/018598 WO2005055850A1 (en) | 2003-12-11 | 2004-12-13 | Bending operation member, multi-joint slider link mechanism, actuator, and manipulator |
Publications (1)
Publication Number | Publication Date |
---|---|
US20070219581A1 true US20070219581A1 (en) | 2007-09-20 |
Family
ID=34681967
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/582,354 Abandoned US20070219581A1 (en) | 2003-12-11 | 2004-12-13 | Bending Action Member, Multi-Slider Linkage Mechanism, Actuator And Manipulator |
Country Status (3)
Country | Link |
---|---|
US (1) | US20070219581A1 (en) |
EP (1) | EP1693018A4 (en) |
WO (1) | WO2005055850A1 (en) |
Cited By (11)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20110288536A1 (en) * | 2009-12-10 | 2011-11-24 | Olympus Medical Systems Corp. | Medical manipulator |
US20140207151A1 (en) * | 2008-04-18 | 2014-07-24 | Fortimedix B.V. | Instrument for endoscopic applications or the like |
WO2014134475A1 (en) * | 2013-02-28 | 2014-09-04 | The Brigham And Women's Hospital | Mechanical structure of articulated sheath |
US8845622B2 (en) | 2009-04-03 | 2014-09-30 | Universite Pierre Et Marie Curie (Paris 6) | Surgical instrument |
US8961499B2 (en) | 2009-04-03 | 2015-02-24 | Universite Pierre Et Marie Curie (Paris 6) | Surgical instrument |
US20160310208A1 (en) * | 2010-09-24 | 2016-10-27 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
WO2019050797A1 (en) * | 2017-09-05 | 2019-03-14 | Intuitive Surgical Operations, Inc. | Computer-assisted teleoperated surgery systems and methods |
US11007641B2 (en) | 2017-07-17 | 2021-05-18 | Canon U.S.A., Inc. | Continuum robot control methods and apparatus |
US11051892B2 (en) | 2013-09-20 | 2021-07-06 | Canon U.S.A., Inc. | Control apparatus and tendon-driven device |
US11278366B2 (en) | 2017-04-27 | 2022-03-22 | Canon U.S.A., Inc. | Method for controlling a flexible manipulator |
US11504501B2 (en) | 2015-10-15 | 2022-11-22 | Canon U.S.A., Inc. | Steerable medical instrument |
Families Citing this family (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CA2637550A1 (en) * | 2006-01-27 | 2007-08-09 | Medtronic, Inc. | Device and system for surgical dissection and or guidance of other medical devices into body |
JP5377991B2 (en) * | 2008-02-26 | 2013-12-25 | テルモ株式会社 | manipulator |
US10603063B2 (en) | 2014-12-30 | 2020-03-31 | Suzhou Touchstone International Medical Science Co., Ltd. | Suturing and cutting apparatus for endoscopic surgery |
US10226239B2 (en) * | 2015-04-10 | 2019-03-12 | Covidien Lp | Adapter assembly with gimbal for interconnecting electromechanical surgical devices and surgical loading units, and surgical systems thereof |
US10660623B2 (en) * | 2016-01-15 | 2020-05-26 | Covidien Lp | Centering mechanism for articulation joint |
Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5235966A (en) * | 1991-10-17 | 1993-08-17 | Jay Jamner | Endoscopic retractor |
US5425737A (en) * | 1992-04-08 | 1995-06-20 | American Cyanamid Co. | Surgical purse string suturing instrument and method |
US5441494A (en) * | 1993-07-29 | 1995-08-15 | Ethicon, Inc. | Manipulable hand for laparoscopy |
US5540706A (en) * | 1993-01-25 | 1996-07-30 | Aust; Gilbert M. | Surgical instrument |
US5614153A (en) * | 1995-05-26 | 1997-03-25 | Rainin Instrument Co., Inc. | Pipette tip ejector |
US5928136A (en) * | 1997-02-13 | 1999-07-27 | Karl Storz Gmbh & Co. | Articulated vertebra for endoscopes and method to make it |
US6077290A (en) * | 1999-09-10 | 2000-06-20 | Tnco, Incorporated | Endoscopic instrument with removable front end |
US20020156497A1 (en) * | 2001-04-18 | 2002-10-24 | Olympus Optical Co., Ltd. | Surgical instrument |
US6743239B1 (en) * | 2000-05-25 | 2004-06-01 | St. Jude Medical, Inc. | Devices with a bendable tip for medical procedures |
Family Cites Families (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPH05199981A (en) * | 1992-01-24 | 1993-08-10 | Olympus Optical Co Ltd | Endoscope |
JP3704399B2 (en) * | 1996-06-21 | 2005-10-12 | オリンパス株式会社 | Ultrasonic treatment device |
JP4370067B2 (en) * | 2001-04-18 | 2009-11-25 | オリンパス株式会社 | Surgical instrument |
-
2004
- 2004-12-13 EP EP04806959A patent/EP1693018A4/en not_active Withdrawn
- 2004-12-13 WO PCT/JP2004/018598 patent/WO2005055850A1/en active Application Filing
- 2004-12-13 US US10/582,354 patent/US20070219581A1/en not_active Abandoned
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5235966A (en) * | 1991-10-17 | 1993-08-17 | Jay Jamner | Endoscopic retractor |
US5425737A (en) * | 1992-04-08 | 1995-06-20 | American Cyanamid Co. | Surgical purse string suturing instrument and method |
US5540706A (en) * | 1993-01-25 | 1996-07-30 | Aust; Gilbert M. | Surgical instrument |
US5441494A (en) * | 1993-07-29 | 1995-08-15 | Ethicon, Inc. | Manipulable hand for laparoscopy |
US5614153A (en) * | 1995-05-26 | 1997-03-25 | Rainin Instrument Co., Inc. | Pipette tip ejector |
US5928136A (en) * | 1997-02-13 | 1999-07-27 | Karl Storz Gmbh & Co. | Articulated vertebra for endoscopes and method to make it |
US6077290A (en) * | 1999-09-10 | 2000-06-20 | Tnco, Incorporated | Endoscopic instrument with removable front end |
US6743239B1 (en) * | 2000-05-25 | 2004-06-01 | St. Jude Medical, Inc. | Devices with a bendable tip for medical procedures |
US20020156497A1 (en) * | 2001-04-18 | 2002-10-24 | Olympus Optical Co., Ltd. | Surgical instrument |
Cited By (21)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20170273674A1 (en) * | 2008-04-18 | 2017-09-28 | Fortimedix Surgical B.V. | Instrument for endoscopic applications or the like |
US20140207151A1 (en) * | 2008-04-18 | 2014-07-24 | Fortimedix B.V. | Instrument for endoscopic applications or the like |
USRE49359E1 (en) * | 2008-04-18 | 2023-01-10 | Fortimedix Assets Ii B.V. | Instrument for endoscopic applications or the like |
US9848858B2 (en) * | 2008-04-18 | 2017-12-26 | Fortimedix Surgical B.V. | Instrument for endoscopic applications or the like |
US8961499B2 (en) | 2009-04-03 | 2015-02-24 | Universite Pierre Et Marie Curie (Paris 6) | Surgical instrument |
US8845622B2 (en) | 2009-04-03 | 2014-09-30 | Universite Pierre Et Marie Curie (Paris 6) | Surgical instrument |
US8808277B2 (en) * | 2009-12-10 | 2014-08-19 | Olympus Medical Systems Corp. | Medical manipulator |
US20110288536A1 (en) * | 2009-12-10 | 2011-11-24 | Olympus Medical Systems Corp. | Medical manipulator |
US9610129B2 (en) | 2009-12-10 | 2017-04-04 | Olympus Corporation | Medical manipulator |
US10660696B2 (en) | 2010-09-24 | 2020-05-26 | Ethicon Llc | Articulation joint features for articulating surgical device |
US9730753B2 (en) * | 2010-09-24 | 2017-08-15 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
US20160310208A1 (en) * | 2010-09-24 | 2016-10-27 | Ethicon Endo-Surgery, Llc | Articulation joint features for articulating surgical device |
US11406443B2 (en) | 2010-09-24 | 2022-08-09 | Cilag Gmbh International | Articulation joint features for articulating surgical device |
WO2014134475A1 (en) * | 2013-02-28 | 2014-09-04 | The Brigham And Women's Hospital | Mechanical structure of articulated sheath |
US9144370B2 (en) | 2013-02-28 | 2015-09-29 | Canon Usa Inc. | Mechanical structure of articulated sheath |
US11051892B2 (en) | 2013-09-20 | 2021-07-06 | Canon U.S.A., Inc. | Control apparatus and tendon-driven device |
US11504501B2 (en) | 2015-10-15 | 2022-11-22 | Canon U.S.A., Inc. | Steerable medical instrument |
US11278366B2 (en) | 2017-04-27 | 2022-03-22 | Canon U.S.A., Inc. | Method for controlling a flexible manipulator |
US11007641B2 (en) | 2017-07-17 | 2021-05-18 | Canon U.S.A., Inc. | Continuum robot control methods and apparatus |
WO2019050797A1 (en) * | 2017-09-05 | 2019-03-14 | Intuitive Surgical Operations, Inc. | Computer-assisted teleoperated surgery systems and methods |
US11896334B2 (en) | 2017-09-05 | 2024-02-13 | Intuitive Surgical Operations, Inc. | Computer-assisted teleoperated surgery systems and methods |
Also Published As
Publication number | Publication date |
---|---|
EP1693018A1 (en) | 2006-08-23 |
EP1693018A4 (en) | 2012-08-08 |
WO2005055850A1 (en) | 2005-06-23 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US20070219581A1 (en) | Bending Action Member, Multi-Slider Linkage Mechanism, Actuator And Manipulator | |
JP6831445B2 (en) | Locally controlled robotic surgery device | |
JP6989594B2 (en) | Wrist structure | |
JP6475728B2 (en) | Drive device for endoscope shaft instrument | |
US6206903B1 (en) | Surgical tool with mechanical advantage | |
CN104958106B (en) | Operation tool with compact wrist | |
US20180028210A1 (en) | Laparoscopic Instrument with Attachable End Effector | |
KR101173619B1 (en) | Robot apparatus for endoscopic surgery | |
JP2021534863A (en) | Enhanced deformable anvil tip for surgical stapler anvil | |
US10342520B2 (en) | Articulating surgical devices and loaders having stabilizing features | |
JP2013510682A (en) | End effector with redundant closure mechanism | |
US20120078290A1 (en) | Laparoscopic instrument with attachable end effector | |
AU2011305616A1 (en) | Laparoscopic instrument with attachable end effector | |
JP2009247904A (en) | Access assembly with multi-flapper design | |
KR20190096544A (en) | Apparatus for laparoscpoic surgery | |
CN210170101U (en) | Endoscopic cutting anastomat body capable of maintaining pneumoperitoneum pressure | |
JP2021503998A (en) | Robotic surgery system, instrument drive assembly, and drive assembly | |
US10363035B2 (en) | Stapler tool with rotary drive lockout | |
US20110077584A1 (en) | Access port including rotatable seals | |
CN113811251B (en) | Minimally invasive surgical instrument | |
JP4504000B2 (en) | Bending motion member, actuator and manipulator | |
JP7502580B2 (en) | Minimally Invasive Surgery Equipment | |
JP4524096B2 (en) | Multi-node slider / link mechanism, bending motion member and manipulator | |
JP2005168846A (en) | Bending operation member and manipulator | |
KR102464210B1 (en) | Trocar assembly |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AS | Assignment |
Owner name: THK CO., LTD., JAPAN Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:DOHI, TAKEYOSHI;HATA, NOBUHIKO;YAMASHITA, HIROMASA;AND OTHERS;REEL/FRAME:019288/0455;SIGNING DATES FROM 20070326 TO 20070507 Owner name: DOHI, TAKEYOSHI, JAPAN Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:DOHI, TAKEYOSHI;HATA, NOBUHIKO;YAMASHITA, HIROMASA;AND OTHERS;REEL/FRAME:019288/0455;SIGNING DATES FROM 20070326 TO 20070507 |
|
AS | Assignment |
Owner name: DOHI, TAKEYOSHI,JAPAN Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNOR:THK CO., LTD.;REEL/FRAME:023974/0925 Effective date: 20100209 |
|
STCB | Information on status: application discontinuation |
Free format text: ABANDONED -- FAILURE TO RESPOND TO AN OFFICE ACTION |